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DR. CHRISTOPHER NICHOLSON CLARKE D.O.
NPI 1093971947
Family Medicine in Berlin, PA

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
87.19/100
CMS Quality Rating
426 MAIN ST, BERLIN, PA 15530(814) 267-4603(814) 267-6467 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Christopher Nicholson Clarke D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTOPHER NICHOLSON CLARKE D.O. (NPI 1093971947) is an individual family medicine provider in Berlin, Pennsylvania, licensed in Pennsylvania (OS017576) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1093971947
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHRISTOPHER NICHOLSON CLARKECredential: D.O.
Location Address426 MAIN STBerlin, PA 15530-1229
Mailing Address329 S Pleasant AveSomerset, PA 15501-2262 · (814) 445-3575 · Fax (814) 445-8039
Phone(814) 267-4603
Fax(814) 267-6467
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateJuly 31, 2008
Last NPPES UpdateMay 5, 2015
✔ NPI 1093971947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS017576✔ Licensed in NE · 5908
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
426 MAIN ST, Berlin, PA 15530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christopher Nicholson Clarke D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587823125
PECOS Enrollment IDI20150713002047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services106 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services64 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Conemaugh Meyersdale Medical Center

Critical Access Hospitals · Meyersdale, PA
OwnershipProprietary
CMS Certification Number391302
Location200 Hospital DriveMeyersdale, PA 15552 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.3
Promoting Interoperability100
Improvement Activities40
Cost67.99

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims57 services$4.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$23.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers18 claims100 services$2.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH J VANANTWERP MD
Family Medicine
426 MAIN ST
BERLIN, PA 15530
Somerset County (814) 267-4603
RUTH A SHAFFER CRNP
Nurse Practitioner (Family)
426 MAIN ST
BERLIN, PA 15530
Somerset County (814) 267-4603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Clarke's NPI number?

The NPI number for Christopher Clarke is 1093971947. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Christopher Clarke located?

Christopher Clarke practices at 426 Main St, Berlin, PA 15530. The listed phone number is (814) 267-4603.

What is Christopher Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Christopher Clarke enrolled in Medicare?

Yes. Christopher Clarke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Christopher Clarke affiliated with any hospitals?

According to CMS data, Christopher Clarke is affiliated with Upmc Somerset and Conemaugh Meyersdale Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Clarke was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.